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MORTGAGE WORKSHEET
(Provide us with as much information as you can.)

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Collection Company Name:
Collection Account Number:
I authorize ECASHNOTES to obtain information and copies of documents from the above
referenced collection company. Reviewing copies of documents will ensure a more accurate quote.

Note Seller Information

Name:
Address:
City:
State:
Zip:
Phone (day):
Phone (evening):
Fax:
E-mail:

Note Payor Information

Name:
Address:
City:
State:
Zip:
S.S.#:

Note Information

Date of Note:
Date of First Payment:
Original Property Sales Price:
Cash Down Payment:
Original Note Balance:
Current Note Balance:

Note Position: 1st 2nd Wrap Other

Note Interest Rate:
Monthly Payment:
Original Term (5yrs.10yrs,etc.):
Balloon Note: Yes No If yes, Due When?

If the note was a 2nd, Wrap or Other, what was the balance
of the first mortgage at the time the property sold?

Property Information

Owner Occupied Tenant Occupied Vacant

Single Family: #Bedrooms: #Bathrooms:

Multifamily Unit: #Units:

Condo: #Bedrooms: #Bathrooms:

Mobile Home with Land: Year Built:

- - - #Bedrooms: #Bathrooms: Single-wide Double-wide

Commercial Building: Use:

Land: Acres: Commercial Residential

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